PEGGY CLARK (NPI# 1669927679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669927679 |
| Entity Type | Individual |
| Full Name | PEGGY CLARK |
| Credential | PHARMD |
| Practice Address |
1382 Buffalo Trl Elizabeth CO 80107-8505 |
| Practice Telephone | 3036464673 |
| Mailing Telephone | 3036464673 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0002005558 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598776445 | Peggy J Clark | Marriage & Family Therapist | 823 Keeler St, Boone, IA 50036-2729 | 2006-08-10 |
| 1952329112 | Peggy Clark | Physical Medicine & Rehabilitation | 2751 W 120th Ave Ste 200, Westminster, CO 80234-2979 | 2006-07-17 |
| 1407032709 | Peggy J Clark | Social Worker | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2008-01-16 |
| 1225159312 | Peggy O. Clark | Nurse Practitioner | 3333 Burnet Ave., Ml 2015, Cincinnati, OH 45229-3039 | 2007-04-03 |
| 1821094897 | Peggy Clark | Speech-Language Pathologist | 992 Union St, Bangor, ME 04401-3057 | 2005-06-24 |
| Street Address |
1382 BUFFALO TRL |
| City | ELIZABETH |
| State | CO |
| Zip Code | 80107-8505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574413 | Healing Pines Recovery, LLC. | Substance Abuse Rehabilitation Facility | 5550 County Road 124, Elizabeth, CO 80107 | 2019-12-06 |
| 1083113146 | Integrative Counseling and Art Therapy | Clinic/Center | 133 E Grant St, Elizabeth, CO 80107 | 2018-02-05 |
| 1386161826 | Anastasia Romero | Social Worker | 650 E. Walnut Unit C, Elizabeth, CO 80107 | 2017-08-25 |
| 1659819605 | Goodman Young Pllc | Dentist | 796 E. Kiowa Ave., Suite H12, Elizabeth, CO 80107 | 2017-02-09 |
| 1912444001 | Kenneth Robertson | Social Worker | 650 East Walnit, Elizabeth, CO 80107 | 2017-01-26 |
| 1801204441 | Darnella L Archer | Counselor | 133 County Road 17, C2f, Elizabeth, CO 80107 | 2014-07-28 |
| 1598189367 | Margaret Ann Mckee | Counselor | 650 W. Walnut, Unit C, Elizabeth, CO 80107 | 2014-02-13 |
| 1164777660 | Alexis Thurlow | Counselor | 950 E. Walnut, Elizabeth, CO 80107 | 2012-07-20 |
| 1184979858 | John Duhamel | Counselor | 650 E. Walnut St, Elizabeth, CO 80107 | 2012-07-19 |
| 1275835506 | Aaron T. Shea | Social Worker | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2010-11-18 |
| Find all providers in zip 80107 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578904959 | Chae Un Chong | Pharmacist | 625 Evans St, Elizabeth, NJ 07201-2008 | 2013-07-12 |
| 1598066680 | Harsh Patel | Pharmacist | 1089 Elizabeth Ave, Elizabeth, NJ 07201-2984 | 2010-11-05 |
| 1790950996 | Ronald Scott Mckinney | Pharmacist | Rt 14 North, Foodmart Shopping Center, Elizabeth, WV 26143 | 2008-04-28 |
| 1376721555 | Elizabeth Maria Rodrigues | Pharmacist | 34 Country Club Ln, Elizabeth, NJ 07208-2607 | 2008-02-10 |
| 1669660171 | Josuee Anne Mertyl | Pharmacist | 38 Aberdeen Rd, Elizabeth, NJ 07208-2302 | 2007-10-09 |
| 1154477503 | Jeffry F Strutt | Pharmacist | 108 Simpson Howell Rd, Elizabeth, PA 15037-2528 | 2007-01-26 |
| 1811081367 | L Robert Rack | Pharmacist | 404 Belfrey Drive, Elizabeth, PA 15037 | 2006-10-02 |
| 1811007123 | Lexington Drug Company of Nj, Inc. | Pharmacist | 1037 N Broad St, Elizabeth, NJ 07208-2748 | 2006-08-30 |
| 1184731762 | Narendar Reddy Yasa | Pharmacist | 851 Elizabeth Ave, Elizabeth, NJ 07201 | 2006-08-23 |
| 1326069550 | Wainger's Pharmacy | Pharmacist | 605 S Broad St, Elizabeth, NJ 07202-2601 | 2006-07-22 |
| Find all providers in ELIZABETH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.